Fillable MIVoterRegistration 97046 7.aspx State of Michigan Voter Registration Application

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MIVoterRegistration 97046 7.aspx State of Michigan Voter Registration Application

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Country of origin: US
File type: PDF

U.S.A. forms for City of Highland City

BROWSE CITY OF HIGHLAND CITY (MI) FORMS

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State of Michigan Voter Registration Application
and Michigan Driver License/Personal Identification Card Address Change Form Instructions
Track your registration status, find your local clerk, view your polling location, and more at mi.gov/vote.
1
qualifications
To register to vote in Michigan you must be:
• A resident of Michigan and the city or
township where you are applying to
register to vote.
• A citizen of the United States of America.
• At least 18 years of age (by election day).
• Not serving a sentence in jail or prison.
residential & mailing address
A residential address must be provided. If
you do not have a residential address,
please provide cross streets or a landmark
in the address field describing your
location.
If you would prefer to receive mail related
to your voter registration or driver
license/personal identification card at an
address other than your residential
address (ex. PO Box), you may provide a
mailing address where indicated on the
form. If you provide a mailing address, it
will not appear on your voter ID card or
driver license/personal identification card.
deliver to your city or township clerk
If you live within the city limits of one of
the cities listed on the reverse side of this
sheet, mail the application directly to the
clerk of that city. If you do not live within
one of the listed cities, you can locate the
address of your city or township clerk by
visiting mi.gov/vote and clicking on “Find
Your Clerk”. You may mail the application
directly to that clerk. Otherwise, mail the
application to your county clerk (addresses
listed on the reverse side of this sheet.)
The county clerk will forward it to your city
or township clerk.
registering by mail – special requirements for first time voters
Are you registering to vote in Michigan for the first time?
If you have never voted in Michigan and choose to submit this form
by mail, you must meet two requirements: a Michigan requirement
and a federal requirement, as explained below.
Michigan requirement – vote in person
You must appear in person to vote in the first election in which you
wish to participate. This requirement does not apply if you: (1)
personally hand deliver this form to your county, city or township
clerk’s office instead of mailing the form, (2) are 60 years of age or
older, (3) are disabled, or (4) are eligible to vote under the federal
Uniformed and Overseas Citizens Absentee Voting Act.
federal requirement – provide identification
To comply with the identification requirement, you must:
(1) accurately enter your state issued driver license number or
personal ID card number where requested on this form.
or
(2) send one of the following forms of identification when mailing
this form to your county, city or township clerk: a COPY of a
current and valid photo identification (such as a driver license
or personal ID card) or a COPY of a paycheck stub, utility bill,
bank statement, or a government document which lists your
name and address.
***DO NOT SEND ORIGINAL ID DOCUMENTS BY MAIL***
If you are subject to this requirement and do not provide the
information identified above, an acceptable form of identification
must be provided before you vote in the first election in which you
wish to participate.
Note: The identification requirement does not apply if you: (1)
personally hand deliver this form to your county, city or township
clerk’s office instead of mailing this form, (2) are disabled, or (3) are
eligible to vote under the federal Uniformed and Overseas Citizens
Absentee Voting Act.
Contact your city or township clerk if you have any questions.
Your application is not valid until accepted by the clerk of the city or
township in which you reside. If you do not receive a voter ID card
within three weeks or have any questions, contact your clerk.
ED-121 (7-15)
2
Mail your application directly to your city or township clerk. If you do not live
within one of the listed cities, you can locate the address of your city or
township clerk by visiting mi.gov/vote and clicking on “Find Your Clerk.”
Otherwise, mail this form to your county clerk, who will forward it.
Selected City Clerks’ Addresses
You must live within the city limits to use a city clerk’s address
Ann Arbor 301 E Huron St, Ann Arbor 48107
Battle Creek 10 N Division St, Rm 111, Battle Creek 49014
Bay City 301 Washington Ave, Bay City 48708
Dearborn 16901 Michigan Ave, Ste 11, Dearborn 48126
Detroit 2978 W Grand Blvd, Detroit 48202
Dearborn Heights 6045 Fenton, Dearborn Heights 48127
East Lansing 410 Abbott Rd, East Lansing 48823
Farmington Hills 31555 Eleven Mile Rd, Farmington Hills 48336
Flint 1101 S Saginaw, Flint 48502
Grand Rapids 300 Monroe Ave NW, Grand Rapids 49503
Hamtramck 3401 Evaline St, Hamtramck 48212
Kalamazoo 241 W South St, Kalamazoo 49007
Lansing 124 W Michigan Ave, Lansing 48933
Lincoln Park 1355 Southfield Rd, Lincoln Park 48146
Livonia 33000 Civic Center Dr, Livonia 48154
Pontiac 47450 Woodward Ave, Pontiac 48342
Romulus 11111 Wayne Rd, Romulus, MI 48174
Roseville PO Box 290, Roseville 48066
Royal Oak 211 Williams St, Royal Oak 48067
Saginaw 1315 S Washington, Saginaw 48601
Saint Clair Shores 27600 Jefferson Circle Dr, Saint Clair Shores 48081
Southfield 26000 Evergreen Rd, PO Box 2055, Southfield 48037
Sterling Heights 40555 Utica Rd, PO Box 8009, Sterling Heights 48311
Taylor 23555 Goddard, Taylor 48180
Troy 500 W Big Beaver, Troy 48084
Warren One City Square, Ste 205, Warren 48093
Westland 36300 Warren Rd, Westland 48185
Wyoming 1155 28
th
St SW, Wyoming 49509
County Clerks’ Addresses
Use if you cannot locate your city or township clerk
Alcona 106 5
th
St, PO Box 308, Harrisville 48740
Alger 101 Court St, PO Box 538, Munising 49862
Allegan 113 Chestnut St, Allegan 49010
Alpena 720 W Chisholm St, Alpena 49707
Antrim PO Box 520, Bellaire 49615
Arenac 120 N Grove, PO Box 747, Standish 48658
Baraga 2 S Main St, Lanse 49946
Barry 220 W State St, Hastings 49058
Bay 515 Center St, Ste 101, Bay City 48708
Benzie 448 Court Pl, Beulah 49617
Berrien 811 Port St, Saint Joseph 49085
Branch 31 Division St, Coldwater 49036
Calhoun 315 W Green St, Marshall 49068
Cass 120 N Broadway, Cassopolis 49031
Charlevoix 203 Antrim St, Charlevoix 49720
Cheboygan 870 W Main St, PO Box 70, Cheboygan 49721
Chippewa 319 Court St, Sault Sainte Marie 49783
Clare 225 W Main St, PO Box 438, Harrison 48625
Clinton 100 E State St, Ste 2600, Saint Johns 48879
Crawford 200 W Michigan, Grayling 49738
Delta 310 Ludington St, Escanaba 49829
Dickinson 705 S Stephenson, PO Box 609, Iron Mountain 49801
Eaton 1045 Independence Blvd, Charlotte 48813
Emmet 200 Division St, Petoskey 49770
Genesee 900 S Saginaw St, Flint 48502
Gladwin 401 W Cedar Ave, Gladwin 48624
Gogebic 200 N Moore, Bessemer 49911
Grand Traverse 400 Boardman Ave, Traverse City 49684
Gratiot 214 E Center, Ste 16, Ithaca 48847
Hillsdale 29 N Howell St, Hillsdale 49242
Houghton 401 E Houghton Ave, Houghton 49931
Huron 250 E Huron Ave, Bad Axe 48413
Ingham PO Box 179, Mason 48854
Ionia 100 W Main St, Ionia 48846
Iosco PO Box 838, Tawas City 48764
Iron 2 S 6th St, Crystal Falls 49920
Isabella 200 N Main St, Mount Pleasant 48858
Jackson 312 S Jackson St, Jackson 49201
Kalamazoo 201 W Kalamazoo Ave, Kalamazoo 49007
Kalkaska 605 N Birch St, Kalkaska 49646
Kent 300 Monroe NW, Grand Rapids 49503
Keweenaw 5095 4th St, Eagle River 49950
Lake 800 Tenth St, Ste 200, Baldwin 49304
Lapeer 255 Clay St, Lapeer 48446
Leelanau 8527 E Government Center Dr, Ste 103, Suttons Bay 49682
Lenawee 425 N Main St, Adrian 49221
Livingston 200 E Grand River, Howell 48843
Luce 407 W Harrie St, Newberry 49868
Mackinac 100 S Marley St, Rm 10, Saint Ignace 49781
Macomb 40 N Main St, Mount Clemens 48043
Manistee 415 3rd St, Manistee 49660
Marquette 234 W Baraga Ave, Marquette 49855
Mason 304 E Ludington Ave, Ludington 49431
Mecosta 400 Elm St, Big Rapids 49307
Menominee 839 10th Ave, Menominee 49858
Midland 220 W Ellsworth St, Midland 48640
Missaukee 111 S Canal St, PO Box 800, Lake City 49651
Monroe 106 E 1st St, Monroe 48161
Montcalm 211 W Main St, PO Box 368, Stanton 48888
Montmorency 12265 M-32, PO Box 789, Atlanta 49709
Muskegon 990 Terrace St, Muskegon 49442
Newaygo 1087 Newell, PO Box 885, White Cloud 49349
Oakland 1200 N Telegraph Bldg 12E, Pontiac 48341
Oceana 100 State St, Ste 1, Hart 49420
Ogemaw 806 W Houghton Ave, West Branch 48661
Ontonagon 725 Greenland Rd, Ontonagon 49953
Osceola 301 W Upton, Reed City 49677
Oscoda 311 Morenci Ave, PO Box 399, Mio 48647
Otsego 225 W Main St, Gaylord 49735
Ottawa 12220 Fillmore St, Rm 130, West Olive 49460
Presque Isle PO Box 110, Rogers City 49779
Roscommon 500 Lake St, Roscommon 48653
Saginaw 111 S Michigan, Saginaw 48602
Sanilac 60 W Sanilac, Sandusky 48471
Schoolcraft 300 Walnut, Manistique 49854
Shiawassee 208 N Shiawassee, Corunna 48817
Saint Clair 201 McMorran Blvd, Port Huron 48060
Saint Joseph 125 W Main St, PO Box 189, Centreville 49032
Tuscola 440 N State St, Caro 48723
Van Buren 212 E Paw Paw, Paw Paw 49079
Washtenaw 200 N Main St, Ann Arbor 48104
Wayne 2 Woodward Ave, Rm 502, Detroit 48226
Wexford 437 E Division St, Cadillac 49601
instructions
Already registered in Michigan?
Update your address quickly and
easily at ExpressSOS.com.
Complete this form to register to
vote or update your registration
information
1
.
Please print all information
clearly using black or blue
pen.
Sign the form.
Mail or deliver this form to
your city/township clerk.
Locate your local clerk or obtain
more information at mi.gov/vote.
1
Name changes must be completed
at an SOS branch office.
This registration will be in
effect for the next election
if postmarked or delivered
no later than 30 days
before election day and
you have met all the
qualifications to register to
vote.
If a voter possesses a Michigan
driver license (DL) or personal ID
(PID), Michigan law requires the
same address be used for voter
registration and DL/PID purposes.
Use of this form will also change
your DL/PID address. The Secretary
of State will mail you a new address
sticker for your DL/PID.
If you have never voted in person in
Michigan and choose to submit this
form by mail, review the
instructions on page 1. Additional
requirements apply.
More instructions can be found on
page 1.
State of Michigan Voter Registration Application
and Michigan Driver License/Personal Identification Card Address Change Form
qualifications
Are you a citizen of the United States of America?
no
Will you be at least 18 years of age on or before election day?
no
If you are not a US citizen, do NOT complete this form
Michigan driver license/state personal ID #
- - - -
If you do not have a Michigan driver license or personal ID card, provide the last four
digits of your Social Security number:
x x x – x x –
I do not have a valid Michigan issued driver license, a Michigan personal ID card, or a
Social Security number.
personal information *required information
last name*
first*
middle
suffix
male female
address where you live – house number and street/road* apt/lot #
/ /
city*
zip
date of birth*
phone
email
mailing address (if different than residential address)
city
state
zip
signature
I certify that:
• I am a citizen of the United States.
• I am a resident of the State of Michigan and will
be at least a 30-day resident of my city or
township by election day.
• I will be at least 18 years of age by election day.
• I authorize the cancellation of any previous
registration.
The information I have provided is true to the best of my knowledge under penalty of perjury. If I have
provided false information, I may be subject to a fine or imprisonment or both under federal or state laws.
X
signature date
former registration
If you were previously registered outside of MI and/or with a different name, complete
this section.
previous registration name
previous county
previous address
previous state
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MIVoterRegistration 97046 7.aspx State of Michigan Voter Registration Application

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Completed 13 July 2020

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